IDENTIFICATION OF RISK FACTORS FOR URINARY TRACT INFECTION IN PATIENTS WITH UROLITHIASIS
DOI:
https://doi.org/10.54112/bcsrj.v2023i1.460Keywords:
Urinary tract infection, Risk factors, Urolithiasis, Urine culture testAbstract
Urinary tract infections (UTIs) are common among patients with urolithiasis, making treatment complicated and even dangerous. This study aimed to identify risk factors associated with UTIs in urolithiasis patients. A retrospective study was conducted at Mayo Hospital Lahore, which included 300 patients with kidney stones. The patients were separated into two groups: those with UTIs and those without. Various factors were examined, including age, gender, smoking history, stone structure, alcohol use, stone location, and presence of blockages in the urinary tract. Out of the 300 patients, 73 (24.33%) had UTIs. The most common pathogens found in the urine cultures were gram-negative bacteria, followed by gram-positive bacteria and fungi. The study concluded that gender, age, blockages in the urinary tract, stone structure, and multiple stone locations could be considered independent risk factors for UTIs in urolithiasis patients. However, no statistically significant relationship was found between drinking and smoking and the incidence of UTIs. The most common organism found in UTIs among urolithiasis patients was a gram-negative bacillus.
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Bichler, K.-H., Eipper, E., Naber, K., Braun, V., Zimmermann, R., and Lahme, S. (2002). Urinary infection stones. International journal of antimicrobial agents 19, 488-498.
Bierkens, A., Hendrikx, A., Ezz El Din, K., De la Rosette, J., Horrevorts, A., Doesburg, W., and Debruyne, F. (1997). The value of antibiotic prophylaxis during extracorporeal shockwave lithotripsy in the prevention of urinary tract infections in patients with urine proven sterile prior to treatment. European urology 31, 30-35.
Daudon, M., Doré, J.-C., Jungers, P., and Lacour, B. (2004). Changes in stone composition according to age and gender of patients: a multivariate epidemiological approach. Urological research 32, 241-247.
Foxman, B. (1990). Recurring urinary tract infection: incidence and risk factors. American journal of public health 80, 331-333.
Hamano, S., Nakatsu, H., Suzuki, N., Tomioka, S., Tanaka, M., and Murakami, S. (2005). Kidney stone disease and risk factors for coronary heart disease. International journal of urology 12, 859-863.
Hesse, A., Brändle, E., Wilbert, D., Köhrmann, K.-U., and Alken, P. (2003). Study on the prevalence and incidence of urolithiasis in Germany comparing the years 1979 vs. 2000. European urology 44, 709-713.
Knoll, T., Schubert, A. B., Fahlenkamp, D., Leusmann, D. B., Wendt-Nordahl, G., and Schubert, G. (2011). Urolithiasis through the ages: data on more than 200,000 urinary stone analyses. The Journal of urology 185, 1304-1311.
Korets, R., Graversen, J. A., Kates, M., Mues, A. C., and Gupta, M. (2011). Post-percutaneous nephrolithotomy systemic inflammatory response: a prospective analysis of preoperative urine, renal pelvic urine and stone cultures. The Journal of urology 186, 1899-1903.
Lee, C. H., Wu, D. C., Lee, J. M., Wu, I. C., Goan, Y. G., Kao, E. L., Huang, H. L., Chan, T. F., Chou, S. H., and Chou, Y. P. (2007). Anatomical subsite discrepancy in relation to the impact of the consumption of alcohol, tobacco and betel quid on esophageal cancer. International journal of cancer 120, 1755-1762.
Li, K., Liu, C., Zhang, X., Liu, Y., and Wang, P. (2013). Risk factors for septic shock after mini-percutaneous nephrolithotripsy with holmium laser. Urology 81, 1173-1176.
Liu, C.-C., Huang, S.-P., Wu, W.-J., Chou, Y.-H., Juo, S., Tsai, L.-Y., Huang, C.-H., and Wu, M.-T. (2009). The impact of cigarette smoking, alcohol drinking and betel quid chewing on the risk of calcium urolithiasis. Annals of epidemiology 19, 539-545.
Liu, C., Zhang, X., Liu, Y., and Wang, P. (2013). Prevention and treatment of septic shock following mini-percutaneous nephrolithotomy: a single-center retrospective study of 834 cases. World journal of urology 31, 1593-1597.
Lu, P.-L., Liu, Y.-C., Toh, H.-S., Lee, Y.-L., Liu, Y.-M., Ho, C.-M., Huang, C.-C., Liu, C.-E., Ko, W.-C., and Wang, J.-H. (2012). Epidemiology and antimicrobial susceptibility profiles of Gram-negative bacteria causing urinary tract infections in the Asia-Pacific region: 2009–2010 results from the Study for Monitoring Antimicrobial Resistance Trends (SMART). International journal of antimicrobial agents 40, S37-S43.
Mooser, V., Burnier, M., Nussberger, J., Juilierat, L., Waeber, B., and Brunner, H. R. (1989). Effects of smoking and physical exercise on platelet free cytosolic calcium in healthy normotensive volunteers. Journal of hypertension 7, 211-269.
Nicolle, L. E. (2008). Uncomplicated urinary tract infection in adults including uncomplicated pyelonephritis. Urologic Clinics of North America 35, 1-12.
Pak, C. Y. (1998). Kidney stones. The lancet 351, 1797-1801.
Pearle, M. S., Calhoun, E. A., Curhan, G. C., and Project, U. D. o. A. (2005). Urologic diseases in America project: urolithiasis. The Journal of urology 173, 848-857.
Preminger, G. M., Assimos, D. G., Lingeman, J. E., Nakada, S. Y., Pearle, M. S., and Wolf, J. S. (2005). Chapter 1: AUA guideline on management of staghorn calculi: diagnosis and treatment recommendations. The Journal of urology 173, 1991-2000.
Schwartz, B. F., and Stoller, M. L. (1999). Nonsurgical management of infection-related renal calculi. Urologic Clinics of North America 26, 765-778.
Scott, R., CUNNINGHAM, C., McLelland, A., Fell, G., Fitzgerald‐Finch, O., and McKellar, N. (1982). The Importance of Cadmium as a Factor in Calcified Upper Urinary Tract Stone Disease—a Prospective 7‐year Study. British Journal of Urology 54, 584-589.
Stamatelou, K. K., Francis, M. E., Jones, C. A., Nyberg Jr, L. M., and Curhan, G. C. (2003). Time trends in reported prevalence of kidney stones in the United States: 1976–1994. Kidney international 63, 1817-1823.
Trautner, B. W., Cope, M., Cevallos, M. E., Cadle, R. M., Darouiche, R. O., and Musher, D. M. (2009). Inappropriate treatment of catheter-associated asymptomatic bacteriuria in a tertiary care hospital. Clinical Infectious Diseases 48, 1182-1188.
Vargas, A. D., Bragin, S. D., and Mendez, R. (1982). Staghorn calculus: its clinical presentation, complications and management. The Journal of urology 127, 860-862.
Wong, H. Y., Riedl, C. R., and Griffith, D. P. (1995). The effect of iontophoresis on bacterial growth in urine. The Journal of urology 154, 1944-1947.
Zhanel, G. G., DeCorby, M., Adam, H., Mulvey, M. R., McCracken, M., Lagacé-Wiens, P., Nichol, K. A., Wierzbowski, A., Baudry, P. J., and Tailor, F. (2010). Prevalence of antimicrobial-resistant pathogens in Canadian hospitals: results of the Canadian Ward Surveillance Study (CANWARD 2008). Antimicrobial agents and Chemotherapy 54, 4684-4693.
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